Profee Billing & Denials Specialist (AAPC or AHIMA Cert. Req'd)

CorroHealth, Inc.; United States; Remote; USD 55,000 - 103,000; Full time

Benefits offered by this job

Remote full-time position

Medical, Dental, Vision coverage

401K with company match

Certification and Tuition Reimbursment

Holidays, paid time off

Job summary

CorroHealth, Inc. seeks a certified ProFee coder for a remote, autonomous role focusing on hospital outpatient/ facility denials, coding compliance, and reimbursement optimization.

This remote position requires permanent US work status and residency within the continental U.S. You will perform denial resolution, payer policy research, coding review, and revenue integrity support with a focus on quality and productivity.

Qualifications

• Must be certified through AAPC (CPC/COC) or AHIMA (CCS/CCS-P).
• Minimum 6 months of on-the-job coding experience.
• Produce productivity and accuracy of 95% or higher.
• Must have reliable internet and current CPT/ICD-10-CM references.

Responsibilities

• Work from home independently with strong coding skills.
• Provide coding services to support clients.
• Handle ProFee and Hospital Outpatient denials.
• Review denials in EPIC and research payer policies.
• Identify denial trends and escalate to management.
• Apply ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes accurately.
• Align coding with AHIMA standards and company ethics.
• Participate in ongoing training and maintain credentials.

Skills

ProFee coding

Denials resolution

Payer policy research

210 Productivity/Accuracy

Education

AAPC or AHIMA certification

Tools

EPIC EHR

EMR systems

Excel

Outlook

Job description

Join one of CorroHealth's most established and successful teams, supporting long-term client partnerships through coding excellence. We're seeking a certified ProFee coder who thrives in a remote, autonomous environment and who also has expertise in hospital outpatient/facility denials, coding compliance, and reimbursement optimization. This role combines hands-on denial resolution, payer policy research, coding review, and revenue integrity support, making it ideal for an experienced coder who enjoys solving complex reimbursement challenges while maintaining exceptional quality and productivity standards.

This is a remote position

Permanent work status (USC/Greencard) is required

Employees must reside within and work within the continental U.S.

Candidates will be required to complete a proctored Profee Coding assessment as part of the application process.

RESPONSIBILITIES:

• Team Member must be able to work from home and be independent in their coding skills.
• Provide various components of coding services to support our clients.
• Strong experience in ProFee and Hospital Outpatient (Facility) denials.
• Understanding of Remit & CARC codes
• Review and resolve denials in EPIC
• Research payer policies
• Identify trending denial issues that can be escalated to management
• Resolve Medical Necessity and CCI edits
• Code surgical procedures typical of an ER setting to capture additional revenue when appropriate.
• Apply ICD-10-CM diagnosis codes to the highest level of specificity available.
• Accurately apply diagnosis codes utilizing ICD-10-CM, ICD-10-PCS, CPT®, and HCPCS
• Identify the importance of documentation on code assignment and the subsequent reimbursement impact.
• Align conduct with AHIMA's Standards of Ethical Coding and the Company’s Code of Ethics and Business Conduct and support the Company’s Ethics and Compliance Program.
• Comply with all internal policies and procedures.
• Actively participate in Company provided training and education.
• All Coders must maintain at least one credential through either AAPC or AHIMA.

MINIMUM QUALIFICATIONS & REQUIREMENTS:

• All coders MUST be certified through either the AAPC (CPC or COC) or AHIMA (CCS or CCS-P).
• Must have at least a minimum of 6 months of on-the-job experience.
• Regular, predictable, and punctual attendance is required.
• Must have working knowledge and experience with systems such as EMR, Billing, etc
• Must have a phone, reliable internet connection and current coding materials such as CPT and ICD-10-CM coding references.
• Will be required to maintain an ongoing productivity level and accuracy rate of 95% or higher
• Must be proficient in Microsoft programs like Excel and Outlook. Examples include:
• You should be able to open and add to an Excel spreadsheet abd perform basic formulas like adding or multiplying.
• You should be able to manage Outlook emails and schedule and attend meetings.
• Ability to communicate effectively and professionally both verbally and written.
• Ability to coordinate, analyze, observe, make decisions, and meet deadlines
• May be required to perform other duties as assigned by Leadership Team Member.

We Offer:

• Quality of life with a remote predictable, full-time schedule
• Competitive hourly rate commensurate to experience
• Medical, Dental, Vision coverage and more
• Long-term disability insurance, and life insurance
• Ample parental leave
• 401K with company match
• Certification and Tuition Reimbursement
• Holidays, paid time off